Form St-10 - Business Use Tax Return

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FORM ST-10
Massachusetts Department of Revenue
Business Use Tax Return
Rev. 7/09
1. Year purchases made . . . . . . . . . . . . . 1
Business Name
Federal Identification number
2. Total purchases from line 9 on
reverse. . . . . . . . . . . . . . . . . . . . . . . . . 2
Address
State
Zip
3. Use tax (6.25% of line 2). . . . . . . . . . . 3
4. Total credit for sales/use tax paid
Return is due with payment on or before April 15, for purchases made
to other states or jurisdictions.
in the prior calendar year. Make check payable to the Commonwealth
From line 10 on reverse. . . . . . . . . . . . 4
of Massachusetts. Mail to: Massachusetts Department of Revenue,
5. Balance. Subtract line 4 from line 3.
PO Box 7009, Boston, MA 02204.
Not less than “0” . . . . . . . . . . . . . . . . . 5
6. Penalty. . . . . . . . . . . . . . . . . . . . . . . . . 6
7. Interest. . . . . . . . . . . . . . . . . . . . . . . . . 7
I declare under the penalties of perjury that this return has been
examined by me and to the best of my knowledge and belief is a
8. Total amount due. . . . . . . . . . . . . . . . . 8
true, correct and complete return.
Signature
Title
Date

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